HIM QA Analyst, Jewish Hospital, 7:00a-3:30p

UofL Health

17h•Onsite

About The Position

Job Description: Job Summary: This position is responsible auditing and analyzing the Legal Health Record (LHR) for compliance with Centers for Medicare and Medicaid Services (CMS) and Joint Commission Record of Care documentation standards. Perform administrative tasks involving electronic chart analysis and document coordination to ensure appropriate criteria are met and maintained in accordance with organizational and department compliance standards. Interacts as needed with internal customers to include but not limited to hospital staff, physicians and their offices, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success. Performs analysis and re-analysis of the medical record to ensure completeness, accuracy, and timeliness of clinical documentation and compliance with regulatory bodies. Serve as the primary contact person and trainer of the physicians in the completion of documentation in the EMR. Monitor, provide feedback, and educate Physicians and other providers regarding TJC and CMS standards and Medical Staff Bylaws to ensure workplace and regulatory compliance. Performs research and required follow up to obtain, track, and clarify missing, incomplete or questionable patient health information as well as assign appropriate deficiencies for incomplete medical records. Assist customers (physicians, patient care units, quality, and other departments internally and externally, etc.) in understanding chart completion requirements. Generate and disseminate deficiency and delinquency letters to notify and/or provide helpful reminders to physicians of any outstanding issues with missing documentation, signatures, queries, etc., in a timely manner as established in hospital policy. Maintain integrity of chart completion systems and carry out the suspension notification process and suspension policy for unresolved delinquencies greater than 30 days as set forth by the medical staff. Perform quantitative and qualitative ongoing record reviews, identify documentation compliance opportunities, prepare statistical reports of trends and outcomes for Medical Records Committee, etc. Locate, route, track and coordinate electronic documents and dictations and manage courtesy copy distribution of transcribed reports for continuity of patient care. Review and abstract data in response to requests for patient medical record information and for statistical and clinical databases. Maintain overall financial viability for UMC Revenue Cycle through collaboration and effective communication with Care Management, Physicians, Coding, and Patient Financial Services. Monitors the implementation of appropriate changes to improve accuracy, effectiveness, productivity, and efficiency that support the overall goals of the department and ULH. Perform other duties as assigned.

Requirements

High School education or GED required.
Minimum of 3 years’ experience in health information management practices and procedures.
Experience in reading and understanding medical record data, familiarity with physician documentation, and medical record content.
Experienced with performing ongoing medical records reviews for compliance with Joint Commission documentation standards under Record of Care for operative reports, H&Ps, authentication, etc.
KNOWLEDGE, SKILLS, & ABILITIES Knowledge of Medical Terminology acquired in a classroom setting or obtained through on the job training.
Demonstrate excellent interpersonal, organizational, written and oral communication skills.
Ability to operate or learn to operate multiple computer systems and software, document management system, chart tracking system, and master patient index search and retrieve.
Ability to work independently, problem solve, and prioritize with minimal supervision and positive customer service relationships.
Strong time management and critical thinking skills and ability to manage multiple demands.
Knowledge of Federal, State, and HIPAA/HITECH privacy and security regulations governing confidentiality of patient health information.

Responsibilities

Auditing and analyzing the Legal Health Record (LHR) for compliance with Centers for Medicare and Medicaid Services (CMS) and Joint Commission Record of Care documentation standards.
Performing administrative tasks involving electronic chart analysis and document coordination.
Interacting with internal customers including hospital staff, physicians and their offices, and other revenue cycle team members.
Actively participating in department and hospital performance initiatives.
Performing analysis and re-analysis of the medical record.
Serving as the primary contact person and trainer of the physicians in the completion of documentation in the EMR.
Monitoring, providing feedback, and educating Physicians and other providers regarding TJC and CMS standards and Medical Staff Bylaws.
Performing research and required follow up to obtain, track, and clarify missing, incomplete or questionable patient health information.
Assisting customers in understanding chart completion requirements.
Generating and disseminating deficiency and delinquency letters.
Maintaining integrity of chart completion systems and carry out the suspension notification process and suspension policy.
Performing quantitative and qualitative ongoing record reviews.
Locating, routing, tracking and coordinating electronic documents and dictations.
Reviewing and abstracting data in response to requests for patient medical record information and for statistical and clinical databases.
Maintaining overall financial viability for UMC Revenue Cycle through collaboration and effective communication.
Monitoring the implementation of appropriate changes to improve accuracy, effectiveness, productivity, and efficiency.